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TM 9-6695-306-14-HR HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF END ITEM (COEI), BASIC ISSUE ITEMS (BII), AND ADDITIONAL AUTHORIZATION LIST (AAL) FOR CALIBRATION SET, AN/GSM-421() NSN 6695-01-473-1469 (EIC: TDC) DISTRIBUTION STATEMENT A : Approved for public release; distribution is unlimited. HEADQUARTERS, DEPARTMENT OF THE ARMY 30 NOVEMBER 2007

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Page 1: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)

TM 9-6695-306-14-HR

HAND RECEIPTCOVERING

CONTENTS OF COMPONENTS OF END ITEM (COEI),

BASIC ISSUE ITEMS (BII),AND ADDITIONAL AUTHORIZATION

LIST (AAL)FOR

CALIBRATION SET,AN/GSM-421()

NSN 6695-01-473-1469 (EIC: TDC)

DISTRIBUTION STATEMENT A: Approved for public release; distribution is unlimited.

HEADQUARTERS, DEPARTMENT OF THE ARMY 30 NOVEMBER 2007

Page 2: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)
Page 3: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)

TM 9-6695-306-14-HR

i/(ii blank)

HAND RECEIPT HEADQUARTERSTM 9-6695-306-14-HR DEPARTMENT OF THE ARMY

Washington, D.C., 30 NOVEMBER 2007

HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF END ITEM (COEI),

BASIC ISSUE ITEMS (BII), AND ADDITIONAL AUTHORIZATION LIST (AAL)

FOR

CALIBRATION SET, AN/GSM-421() NSN 6695-01-473-1469 (EIC: TDC)

DISTRIBUTION STATEMENT A: Approved for public release; distribution is unlimited.

REPORTING ERRORS AND RECOMMENDING IMPROVEMENTS

You can improve this manual. If you find any mistakes or if you know of a way to improve these procedures, please let us know. Mail your letter or DA Form 2028 (Recommended Changes to Publications and Blank Forms) located in the back of the manual, directly to: Commander, U.S. Army Aviation and Missile Command, ATTN: AMSAM-MMC-MA-NP, Redstone Arsenal, AL 35898-5000. A reply will be furnished to you. You may also provide DA Form 2028 information to AMCOM via email, fax, or the World Wide Web. Our fax number is: DSN 788-6546 or Commercial 256-842-6546. Our email address is: [email protected] for sending an electronic 2028 may be found at the back of this manual immediately preceding the hard copy 2028. For the World Wide Web, use https://amcom2028.redstone.army.mil.

TABLE OF CONTENTS

PageSection I. Introduction .....................................................................................................................1-1

Section II. Hand Receipt .................................................................................................................. 2-1

Page 4: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)
Page 5: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)

TM 9-6695-306-14-HR

1-1

Section I. INTRODUCTION

1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt) which lists the contents of Components of End Item (COEI), Basic Issue Items (BII), and Additional Authorization List (AAL) items related to the Calibration Set, AN/GSM-421().

2. GENERAL.a. Section II is the overprinted DA Form 2O62 that lists the line item entry for system/end item and the contents of COE1, Bll, and AAL extracted from TM 9-6695-239-14. The listings consist of exactly the same items and are in the same sequence as those listings in TM 9-6695-239-14.b. The overprinted DA Form 2062 will eliminate manual preparation of the form and will assist organizations in inventorying and accounting for property as required by AR 710-2.c. Local reproduction of the overprinted DA Form 2062 is authorized. However, organizations will comply with local policies in the reproduction of DA Form 2062 by office copying equipment, field printing plant, or duplicating plant facilities.

3. EXPLANATION OF BLOCKS AND COLUMNS (DA FORM 2062). Refer to DA Pam 710-2-1, chapter 6, for additional information required to complete DA Form 2062.

a. From. Enter the organization, unit, section, or squad which issues the property.b. To. Enter the Unit Identifier Code (UIC) and the hand receipt file number of the unit/personnel receiving the property.c. Hand Receipt Number. Enter a locally designated number. Use it to post the location of property in the property book.d. End Item Stock Number. Contains the National Stock Number (NSN) of the end item covered by the hand receipt.e. End Item Description. Contains the end item short title.f. Publication Number. Contains the TM number of the technical manual containing the operator/crew instructions for the equipment.g. Publication Date. Date of the operator/crew technical manual.h. Quantity. Quantity of the end item covered by this hand receipt.i. Stock Number (Column a). NSN of the item described. Item without stock number should be requisitioned by Commercial and Government Entity Code (CAGEC) and part number with exception data in accordance with AR 710-2.j. Item Description (Column b). Describes the end item, including the make or model, and the serial/USA number, followed by item description of COEI, BII, and AAL items. In addition, it contains the five-digit CAGEC, Part Number (P/N), and Used On Code (UOC), if applicable.

k. (Column c). The Accounting Requirements Code (ARC) is provided here. One of the following ARCs will apply:

Page 6: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)

TM 9-6695-306-14-HR

1-2

NOTEThe Accounting Requirements Code (ARC) refers to property accountability, not the Recoverability Code (RC). The ARC and the RC are listed in the Army Master Data File (AMDF).

(N) - Nonexpendable: Items not consumed in use, retaining their identity during use, and requiring that accountability be maintained throughout the life of the item.

(D) - Durable: Nonconsumable components of sets, kits, outfits, and assemblages; all tools in Federal Supply Codes (FSCs) 5110, 5120, 5130, 5133, 5136, 5140, 5180, 5220, and 5280; and any other nonconsumable with a price in excess of $50.00 not already N.

(X) - Expendable: Items, regardless of type classification or price and which are consumed in use. Includes all class 9 repair parts and items not consumed in use which cost $50.00 or less and not already N or D.

l. SEC (Column d). The Controlled Inventory Item Code (formerly SEC code) is entered here. This is a one-position code which indicates the security classification or pilferage controls required for storage or transportation of assets. Order of precedence for assignment of codes is classified, sensitive, pilferable, or unclassified, as applicable. Codes applicable to this hand receipt are as follows:

SECCODE CONTROLLED INVENTORY ITEM CODE

U UNCLASSIFIED PILFERABLE ITEMS.

M Hand tools and shop equipment.

J Pilferable item, due to its size, shape, utility, which does not fall under one of the above categories. Pilferage controls may be designated by the coding activity to items coded U (unclassified) by recoding the items to J.

Page 7: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)

TM 9-6695-306-14-HR

1-3/(1-4 blank)

m. UI (Column e). Unit of Issue. Refer to AR 708-1 and/or CDA Pam 18-1 (Catalog Data Activity) for explanation of abbreviations used in this column.n. QTY AUTH (Column f). The quantity authorized to be on hand, or part of the end item.o. Quantity (Column g). Actual quantity on hand. Subcolumns A through F are to be filled in by the receiving unit/personnel in accordance with DA Pam 710-2-1, chapter 6.p. Page ___ of ___ Pages. Contains page number and total number of pages for the COEI, BII, and AAL portions of the hand receipt. Hand receipt holder will initial each page number (only when two or more forms are involved). When hand receipt holders change, the old initials will be lined out, and the new hand receipt holder will initial each page.

4. AUTHORIZATION DOCUMENTS.

a. Components of End Item (COEI) are authorized by the applicable Repair Parts and Special Tools List (RPSTL).

b. Basic Issue Items (BII) are authorized by the applicable operator's manual.

c. Additional Authorization List (AAL) items are authorized by the appropriate MTOE, TDA, CTA, or JTA authorization documents.

5. SPECIAL INFORMATION. Items coded (.) indicate information is not available.

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Page 9: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)

HA

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(CO

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Ladder (18876) 13610879 EA

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5995-01-472-9126 C

able Assem

bly, W64 (29381) 4024366-501

XU

EA1

6150-01-494-3957 C

able Assem

bly, W65 (29381) 4024367-501

XU

EA1

Generator Exhaust System

(2 pieces) (18876) 13610889 EA

1

5820-01-263-1760 Surface W

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(MK

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) X

USE

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4720-01-494-3404 H

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4720-01-494-3411 H

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XU

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6115-01-431-3062 G

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EP-903A

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6150-01-493-7669 C

able Assem

bly, W69 (29381) 4024371-501

XU

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Blow

er Assem

bly (29381) 7029864-1 EA

1

4240-01-231-6515 Filter U

nit, Gas-Particulate (81361) ES-19-8892

XJ

EA1

4120-01-521-2697 Environm

ental Control U

nit (29381) 3001461 N

YEA

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Key B

ox (39428) 1338A9

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Carbon M

onoxide Monitor w

ith battery backup (032V3) 4727

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Digital Therm

ometer (W

et & D

ry Bulb) (39428) 40195K

21 EA

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Hub, 10 B

ase T (18876) 13603277 EA

1

Folding Chairs PN

: 17-2210 EA

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6625-01-497-7844 Fiber H

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, Ethernet 8 Port (18876) 13603137 X

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Converter, M

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pril 2003

Page 10: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)

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100 Base TX

Hub (located behind printer) (18876) 13603278

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Uninterrupted Pow

er Supply (18876) 13603214 EA

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5895-01-443-5081 Interface U

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atic Data Processing (80058) C

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XU

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BA

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Circuit B

reaker Handle (18876) 13610889

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6625-01-497-7846 A

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phenol BN

C Tee (77820) 31-8

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5985-00-835-9469 Term

inator, 50 OH

M B

NC

(74868) 46650-51 X

UEA

2

Cable, C

o-ax, 75 Ft. (18876) 13603189 EA

1

Cable, Fiber O

ptic, 75 Ft. (18876) 13603203 EA

1

4210-01-245-9850 Fire Extinguisher

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Generator T-B

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EA1

5410-01-441-0266 M

ounting Kit, H

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WV

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5411-01-499-5433 Pintle Extension K

it (81337) 17-1-8565-1 N

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1

AD

DIT

ION

AL

AU

TH

OR

IZAT

ION

LIST

(AA

L)

Extension Cord, 25 Ft. (0Z629) 54094198

EA2

Heater, Space 1500 W

atts (0Z629) 78766 EA

1

5410-01-323-2454 (Green)

Modular C

omm

and Post System (M

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reen OR

Modular C

omm

and Post System

(MC

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5410-01-334-7529) See Com

ponent Inventory. N

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5410-01-364-4497 (Green)

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reen (81349) MIL-B

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(81337) 54-8184-2 X

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Page 11: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)

STOC

K NU

MBER

ITE

M D

ES

CR

IPTIO

N

*SEC

UI

QTY

AUTH

g. Q

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a.b.

c.d.

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Reverse of D

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2062 PAG

E 3 OF 3 PAG

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TM 9-6695-306-14-HR

2-3

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Page 13: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)

By Order of the Secretary of the Army

GEORGE W. CASEY, JR. General, United States Army

Chief of StaffOfficial:

JOYCE E. MORROW Administrative Assistant to the

Secretary of the Army 0728407

DISTRIBUTION:

To be distributed in accordance with Initial Distribution Number (IDN) 362430, requirementsfor TM 9-6695-306-14-HR.

TM 9-6695-306-14-HR

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Page 15: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)

These are the instructions for sending an electronic 2028The following format must be used if submitting an electronic 2028. The subject line must be exactly the same and all fields must be included; however only the following fields are mandatory: 1, 3, 4, 5, 6, 7, 8, 9, 10, 13, 15, 16, 17, and 27.

From: “Whomever” [email protected]: [email protected]

Subject: DA Form 20281 From: Joe Smith 2 Unit: home 3 Address: 4300 Park 4 City: Hometown 5 St: MO 6 Zip: 77777 7 Date Sent: 19--OCT--93 8 Pub no: 55--2840--229--239 Pub Title: TM 10 Publication Date: 04--JUL--8511 Change Number: 712 Submitter Rank: MSG13 Submitter FName: Joe14 Submitter MName: T15 Submitter LName: Smith 16 Submitter Phone: 123--123--123417 Problem: 1 18 Page: 2 19 Paragraph: 3 20 Line: 4 21 NSN: 5 22 Reference: 6 23 Figure: 7 24 Table: 8 25 Item: 9 26 Total: 123

27 Text:This is the text for the problem below line 27.

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Page 17: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)

EXAMPLE

RECOMMENDED CHANGES TO PUBLICATIONS AND BLANK FORMS

For use of this form, see AR 25--30; the proponent agency is ODISC4.

Use Part II (reverse) for Repair Parts and Special Tool Lists (RPSTL) and Supply Catalogs/ Supply Manuals (SC/SM)

DATE

8/30/02

TO: (Forward to proponent of publication or form)(Include ZIP Code)

Commander, U.S. Army Aviation and Missile Command

ATTN: AMSAM--MMC--MA--NP

Redstone Arsenal, AL 35898

FROM: (Activity and location)(Include ZIP Code)

MSG, Jane Q. Doe

1234 Any Street

Nowhere Town, AL 34565

PART 1 - ALL PUBLICATIONS (EXCEPT RPSTL AND SC/SM) AND BLANK FORMS

PUBLICATION/FORM NUMBER TM 9-1005-433-24

DATE16 Sep 2002

TITLE Organizational, Direct Support, And General Support Maintenance Manual for Machine Gun, .50 Caliber M3P and M3P Machine Gun Electrical Test Set Used On Avenger Air Defense Weapon System

ITEMNO.

PAGE NO.

PARA-GRAPH

LINENO. *

FIGURE NO.

TABLENO. RECOMMENDED CHANGES AND REASON

1 WP0005PG 3

2 Test or Corrective Action column should identify a different WP number.

* Reference to line numbers within the paragraph or subparagraph.TYPED NAME, GRADE OR TITLE

MSG, Jane Q. Doe, SFC

TELEPHONE EXCHANGE/ AUTOVON, PLUS EXTENSION

788-1234

SIGNATURE

DA FORM 2028, FEB 74 REPLACES DA FORM 2028, 1 DEC 68, WHICH WILL BE USED. USAPA V3.01

Page 18: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)

EXAMPLE

TO: (Forward direct to addressee listed in publication)

Commander, U.S. Army Aviation and Missile Command

ATTN: AMSAM-MMC-MA-NP

Redstone Arsenal, AL 35898

FROM: (Activity and location) (Include ZIP Code)

MSG, Jane Q. Doe

1234 Any Street

Nowhere Town, AL 34565

DATE

8/30/02

PART II - REPAIR PARTS AND SPECIAL TOOL LISTS AND SUPPLY CATALOGS/SUPPLY MANUALS

PUBLICATION NUMBER DATE TITLE

PAGE NO.

COLMNO.

LINENO.

NATIONAL STOCK NUMBER

REFERENCENO.

FIGURE NO.

ITEMNO.

TOTAL NO. OF MAJOR

ITEMSSUPPORTED

RECOMMENDED ACTION

PART III - REMARKS (Any general remarks or recommendations, or suggestions for improvement of publications andblank forms. Additional blank sheets may be used if more space is needed.)

TYPED NAME, GRADE OR TITLE

MSG, Jane Q. Doe, SFCTELEPHONE EXCHANGE/AUTOVON, PLUS EXTENSION

788-1234SIGNATURE

USAPA V3.01

Page 19: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)

RECOMMENDED CHANGES TO PUBLICATIONS AND BLANK FORMS

For use of this form, see AR 25--30; the proponent agency is ODISC4.

Use PartII(reverse) for Repair Parts and Special Tool Lists (RPSTL) and Supply Catalogs/ Supply Manuals (SC/SM)

DATE

TO: (Forward to proponent of publication or form)(Include ZIP Code)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898

FROM: (Activity and location)(Include ZIP Code)

PART 1 --ALL PUBLICATIONS (EXCEPT RPSTL AND SC/SM) AND BLANK FORMS

PUBLICATION/FORM NUMBER DATE TITLE

ITEMNO.

PAGE NO.

PARA-GRAPH

LINENO. *

FIGURE NO.

TABLENO. RECOMMENDED CHANGES AND REASON

* Reference to line numbers within the paragraph or subparagraph. TYPED NAME, GRADE OR TITLE TELEPHONE EXCHANGE/

AUTOVON, PLUS EXTENSION

SIGNATURE

DA FORM 2028, FEB 74 REPLACES DA FORM 2028, 1 DEC 68, WHICH WILL BE USED. USAPA V3.01

Page 20: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)

TO: (Forward direct to addressee listed in publication)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898

FROM: (Activity and location) (Include ZIP Code) DATE

PART II --REPAIR PARTS AND SPECIAL TOOL LISTS AND SUPPLY CATALOGS/SUPPLY MANUALS

PUBLICATION NUMBER DATE TITLE

PAGE NO.

COLMNO.

LINENO.

NATIONAL STOCK NUMBER

REFERENCENO.

FIGURE NO.

ITEMNO.

TOTAL NO. OF MAJOR

ITEMSSUPPORTED

RECOMMENDED ACTION

PART III --REMARKS (Any general remarks or recommendations, or suggestions for improvement of publications and blank forms. Additional blank sheets may be used if more space is needed.)

TYPED NAME, GRADE OR TITLE TELEPHONE EXCHANGE/AUTOVON, PLUS EXTENSION

SIGNATURE

USAPA V3.01

Page 21: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)

RECOMMENDED CHANGES TO PUBLICATIONS AND BLANK FORMS

For use of this form, see AR 25--30; the proponent agency is ODISC4.

Use PartII(reverse) for Repair Parts and Special Tool Lists (RPSTL) and Supply Catalogs/ Supply Manuals (SC/SM)

DATE

TO: (Forward to proponent of publication or form)(Include ZIP Code)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898

FROM: (Activity and location)(Include ZIP Code)

PART 1 --ALL PUBLICATIONS (EXCEPT RPSTL AND SC/SM) AND BLANK FORMS

PUBLICATION/FORM NUMBER DATE TITLE

ITEMNO.

PAGE NO.

PARA-GRAPH

LINENO. *

FIGURE NO.

TABLENO. RECOMMENDED CHANGES AND REASON

* Reference to line numbers within the paragraph or subparagraph. TYPED NAME, GRADE OR TITLE TELEPHONE EXCHANGE/

AUTOVON, PLUS EXTENSION

SIGNATURE

DA FORM 2028, FEB 74 REPLACES DA FORM 2028, 1 DEC 68, WHICH WILL BE USED. USAPA V3.01

Page 22: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)

TO: (Forward direct to addressee listed in publication)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898

FROM: (Activity and location) (Include ZIP Code) DATE

PART II --REPAIR PARTS AND SPECIAL TOOL LISTS AND SUPPLY CATALOGS/SUPPLY MANUALS

PUBLICATION NUMBER DATE TITLE

PAGE NO.

COLMNO.

LINENO.

NATIONAL STOCK NUMBER

REFERENCENO.

FIGURE NO.

ITEMNO.

TOTAL NO. OF MAJOR

ITEMSSUPPORTED

RECOMMENDED ACTION

PART III --REMARKS (Any general remarks or recommendations, or suggestions for improvement of publications and blank forms. Additional blank sheets may be used if more space is needed.)

TYPED NAME, GRADE OR TITLE TELEPHONE EXCHANGE/AUTOVON, PLUS EXTENSION

SIGNATURE

USAPA V3.01

Page 23: HAND RECEIPT COVERING CONTENTS OF COMPONENTS OF … · TM 9-6695-306-14-HR 1-1 Section I. INTRODUCTION 1. SCOPE. This publication provides an overprinted DA Form 2062 (Hand Receipt)

RECOMMENDED CHANGES TO PUBLICATIONS AND BLANK FORMS

For use of this form, see AR 25--30; the proponent agency is ODISC4.

Use PartII(reverse) for Repair Parts and Special Tool Lists (RPSTL) and Supply Catalogs/ Supply Manuals (SC/SM)

DATE

TO: (Forward to proponent of publication or form)(Include ZIP Code)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898

FROM: (Activity and location)(Include ZIP Code)

PART 1 --ALL PUBLICATIONS (EXCEPT RPSTL AND SC/SM) AND BLANK FORMS

PUBLICATION/FORM NUMBER DATE TITLE

ITEMNO.

PAGE NO.

PARA-GRAPH

LINENO. *

FIGURE NO.

TABLENO. RECOMMENDED CHANGES AND REASON

* Reference to line numbers within the paragraph or subparagraph. TYPED NAME, GRADE OR TITLE TELEPHONE EXCHANGE/

AUTOVON, PLUS EXTENSION

SIGNATURE

DA FORM 2028, FEB 74 REPLACES DA FORM 2028, 1 DEC 68, WHICH WILL BE USED. USAPA V3.01

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TO: (Forward direct to addressee listed in publication)Commander, U.S. Army Aviation and Missile Command ATTN: AMSAM-MMC-MA-NP Redstone Arsenal, AL 35898

FROM: (Activity and location) (Include ZIP Code) DATE

PART II --REPAIR PARTS AND SPECIAL TOOL LISTS AND SUPPLY CATALOGS/SUPPLY MANUALS

PUBLICATION NUMBER DATE TITLE

PAGE NO.

COLMNO.

LINENO.

NATIONAL STOCK NUMBER

REFERENCENO.

FIGURE NO.

ITEMNO.

TOTAL NO. OF MAJOR

ITEMSSUPPORTED

RECOMMENDED ACTION

PART III --REMARKS (Any general remarks or recommendations, or suggestions for improvement of publications and blank forms. Additional blank sheets may be used if more space is needed.)

TYPED NAME, GRADE OR TITLE TELEPHONE EXCHANGE/AUTOVON, PLUS EXTENSION

SIGNATURE

USAPA V3.01

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PIN: 084387-000

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